MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED. FROM PULMONOGIST OR SPECIALIST PHYSICIAN

COPD

J43, J44

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

FOR LONG TERM ORAL CORTICOSTEROID TREATMENT

CORONARY ARTERY DISEASE

I20, I25

CORONARY ARTERY DISEASE

I20, I25

ANTICOAGULANT

WARFARIN 5MG

CIPLA-WARFARIN

712390

CORONARY ARTERY DISEASE

I20, I25

BETA BLOCKER

PROPRANOLOL 10MG

INDOBLOK 10MG

806552

CORONARY ARTERY DISEASE

I20, I25

BETA BLOCKER

PROPRANOLOL 40MG

INDOBLOK 40MG

806560

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS

ATENOLOL 50MG

TENOPRESS 50MG

705874

BIO-ATENOLOL 50MG

826898

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS

ATENOLOL 100MG

TENOPRESS 100MG

705873

BIO-ATENOLOL 100MG

826901

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS

BISOPROLOL 5MG

BILOCOR 5MG

704372

BISBETA 5MG

720659

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS

BISOPROLOL 10MG

BILOCOR 10MG

704373

BISBETA 10MG

720660

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS/DIURETIC

BISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 2.5MG/6.25MG

718082

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS/DIURETIC

BISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 5MG/6.25MG

718086

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS/DIURETIC

ATENOLOL 100MG/CHLORTHALIDONE 25MG

TENCHLOR

786217

CORONARY ARTERY DISEASE

I20, I25

BETA-BLOCKERS/DIURETIC

ATENOLOL 50MG/CHLORTHALIDONE 12.5MG

TENCHLOR-HS

807591

CORONARY ARTERY DISEASE

I20, I25

ALPHA + BETA BLOCKER

CARVEDILOL 12.5MG

CARLOC 12.5MG

700168

CARVETREND 12.5MG

704671

CORONARY ARTERY DISEASE

I20, I25

ALPHA + BETA BLOCKER

CARVEDILOL 6.25MG

CARLOC 6.25MG

705459

CARVETREND 6.25MG

704670

CORONARY ARTERY DISEASE

I20, I25

ALPHA + BETA BLOCKER

CARVEDILOL 25MG

CARLOC 25MG

897117

CARVETREND 25MG

704672

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

AMLODIPINE 10MG

GULF AMLODIPINE 10MG

712954

CIPLAVASC 10MG

708152

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

AMLODIPINE 5MG

AMTAS 5MG

713971

LOMANOR 5MG

708352

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 240 SR

VERAHEXAL 240 SR

700071

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 40MG

VASOMIL 40MG

774944

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 80MG

VASOMIL 80MG

774952

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

NIFEDIPINE SR 20MG

CIPALAT RETARD 20MG

864153

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

NIFEDIPINE SR 60MG

CIPALAT XR 30MG

723283

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

NIFEDIPINE SR 30MG

CIPALAT XR 60MG

723284

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

DILTIAZEM 60MG

ZILDEM 60MG

822213

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

DILTIAZEM 90MG

ZILDEM 90MG

824364

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

DILTIAZEM SR 180MG

ZILDEM SR 180MG

839183

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

DILTIAZEM SR 240MG

ZILDEM SR 240MG

839191

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

FELODIPINE 10MG

FELODIPINE-HEXAL 10MG

703902

CORONARY ARTERY DISEASE

I20, I25

CALCIUM CHANNEL BLOCKERS

FELODIPINE 5MG

FELODIPINE-HEXAL 5MG

703221

CORONARY ARTERY DISEASE

I20, I25

NITRATES

GLYCERYL TRINTARATE 0.5MG

ANGISED

703605

CORONARY ARTERY DISEASE

I20, I25

NITRATES

ISOSORBIDE DINITRATE 10MG

ISORDIL 10MG

734381

CORONARY ARTERY DISEASE

I20, I25

NITRATES

ISOSORBIDE DINITRATE 30MG

ISORDIL 30MG

734403

CORONARY ARTERY DISEASE

I20, I25

NITRATES

ISOSORBIDE DINITRATE 5MG

ISORDIL 5MG

734411

CORONARY ARTERY DISEASE

I20, I25

NITRATES

ISOSORBIDE MONONITRATE 20MG

ISMO 20MG

734055

CORONARY ARTERY DISEASE

I20, I25

NITRATES

ISOSORBIDE DINITRATE 40MG

ISORDIL TEMBID 40MG

734438

CORONARY ARTERY DISEASE

I20, I25

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

CORONARY ARTERY DISEASE

I20, I25

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

ECOTRIN 81MG

823481

CORONARY ARTERY DISEASE

I20, I25

PLATELET AGGREGATION INHIBITORS

CLOPIDOGREL 75MG

PLAGROL

711423

DETAILED CLINICAL MOTIVATION REQUIRED WITH STENT TYPES AND DATES AND HISTORY OF THERAPY

CORONARY ARTERY DISEASE

I20, I25

FIBRATES

BEZAFIBRATE 400MG

DYNA-BEZAFIBRATE 400MG

710122

FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA

CORONARY ARTERY DISEASE

I20, I25

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 10MG

ADCO SIMVASTATIN 10MG

701276

AUSTELL SIMVASTATIN 10MG

705464

FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA

CORONARY ARTERY DISEASE

I20, I25

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 20MG

ADCO SIMVASTATIN 20MG

701279

AUSTELL SIMVASTATIN 20MG

705465

FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA

CORONARY ARTERY DISEASE

I20, I25

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 40MG

ADCO SIMVASTATIN 40MG

701281

AUSTELL SIMVASTATIN 40MG

705467

FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA

CROHN'S DISEASE

K50

CROHN'S DISEASE

K50

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN 500MG

762008

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN EN 500

762016

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

ANTIBIOTICS

METRONIDAZOLE 200MG

ADCO-METRONIDAZOLE 200MG

742872

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

ANTIBIOTICS

METRONIDAZOLE 400MG

ADCO-METRONIDAZOLE 400MG

701076

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

ANTIBIOTICS

CIPROFLOXACIN 250MG

CIPROL 250MG

704777

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

ANTIBIOTICS

CIPROFLOXACIN 500MG

CIPROL 500MG

704775

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

ANTIBIOTICS

CIPROFLOXACIN 750MG

CIFLOC 750MG

893963

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

CORTICOSTEROIDS

PREDNISOLONE 5MG

LENISOLONE 5MG

800155

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

CORTICOSTEROIDS

PREDNISONE 5MG

BE-TABS PREDNISONE

788783

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

CYTOSTATIC

METHOTREXATE 2.5

METHOTREXATE 2.5MG

742465

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

IMMUNOSUPPRESSIVE

AZATHIOPRINE 50MG

AZAMUN 50MG

701252

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

BUDESONIDE 2.3MG

ENTOCORD 2,3MG ENEMA

824593

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

BUDESONIDE 3MG

ENTOCORD 3MG CAP

838896

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

MESALAZINE [5-AMINOSALICYLIC ACID.] RECTAL

ASACOL 500MG SUPP

824135

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

MESALAZINE [5-AMINOSALICYLIC ACID.] RECTAL

ASACOL ENEMA 2GM/50ML

824127

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

MESALAZINE [5-AMINOSALICYLIC ACID.] TAB

ASACOL 400MG TAB

783668

MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

MESALAZINE 500MG

PENTASA 500MG TAB

890775

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

OTHERS

OLSALAZINE SOD 250MG

DIPENTUM 250MG CAP

792519

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

PRENATAL VITAMINS

FOLIC ACID

BE-TABS FOLIC ACID

810967

TREATMENT TO BE INITIATED BY SPECIALIST

CROHN'S DISEASE

K50

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

FOR LONG TERM ORAL CORTICOSTEROID TREATMENT

DIABETES INSIPIDUS

E23.2

DIABETES INSIPIDUS

E23.2

ANTI-DIURETICS

DESMOPRESSIN

DDAVP INTRANASAL SOL 0.1MG/ML

717746

TREATMENT TO BE INITIATED BY SPECIALIST

DIABETES INSIPIDUS

E23.2

ANTI-DIURETICS

DESMOPRESSIN

DDAVP NASAL SPRAY 0.1MG/ML

837555

TREATMENT TO BE INITIATED BY SPECIALIST

DIABETES INSIPIDUS

E23.2

ANTI-DIURETICS

DESMOPRESSIN TAB

DDAVP 0.1MG

837563

TREATMENT TO BE INITIATED BY SPECIALIST

DIABETES INSIPIDUS

E23.2

ANTI-DIURETICS

DESMOPRESSIN TAB

DDAVP 0.2MG

703639

TREATMENT TO BE INITIATED BY SPECIALIST

DIABETES MELLITUS TYPE 1

E10

DIABETES MELLITUS TYPE 1

E10

ANTI-HYPOGLYCAEMIC AGENT

INJECTION

GLUCAGEN - HYPOKIT

821365

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

LANCETS

ACCU-CHECK PRO LANCETS

616091

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

LANCETS

ACCU-CHECK SOFTCLIX LANCETS

616102

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

LANCETS

MICROLET LANCETS

508771

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

NEEDLES

NOVOFINE NEEDLES

458317

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

NEEDLES

BD MICROFINE NEEDLES

463822

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ACCU-CHECK ADVANTAGE STRIP

891500

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ACCUTREND GLUCOSE STRIPS

831743

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ASCENSIA ELITE TS (GLUCOMETER)

811394

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ASCENSIA ENTRUST TEST STRIPS

701260

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ASCENSIA GLUCODI ESPRIT

890752

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

GLUCOSTIX COASTAL

831980

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

GLUCOSTIX HIGH ALTITUDE

831999

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

HAEMO-GLUCOTEST

832014

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

KETO-DIASTIX 50'S

832203

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

MEDISENSE OPTIMUM PLUS

892998

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

MEDISENSE PRECISION PLUS ELECTRODES

847887

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ONE TOUCH ULTRA TEST STRIPS

702690

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

ONE TOUCH HORIZON TEST STRIPS

704130

DIABETES MELLITUS TYPE 1

E10

DIABETIC CONSUMABLES

STRIPS

HOMEMED BLOOD GLUCOSE STRIPS

460628

DIABETES MELLITUS TYPE 1

E10

INSULIN

BIPHASIC INSULIN

INSU ACTAPHANE HM(GE) 3.0ML PENSET

816213

DIABETES MELLITUS TYPE 1

E10

INSULIN

BIPHASIC INSULIN

INSU ACTRAPHANE HM(GE) 10ML VIAL

733512

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

INSU APIDRA 3.0ML CARTRIDGE

706039

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

INSU APIDRA I OPTISET PENSET 3ML

710367

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

INSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML

709861

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

INSU APIDRA 10ML VIAL

706040

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

NOVORAPID FLEXPEN 3ML PREFILLED DEVICE PENSET

897767

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

NOVORAPID FLEXPEN 3ML SOLUTION FOR INJ. PENFILL

897775

DIABETES MELLITUS TYPE 1

E10

INSULIN

FAST ACTING INSULIN

NOVORAPID VIAL 10ML

707927

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN

NOVOMIX 30 FLEXPEN 3ML PF DEVICE

702086

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN

NOVOMIX 30 PENFILL 3ML PF DEVICE

702089

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN - RAPID ACTING

INSULIN HUMALOG 10ML VIAL

819468

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN - RAPID ACTING

INSULIN HUMALOG CARTRIDGE 3ML

862355

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN - RAPID ACTING

INSULIN HUMALOG PEN 3ML DISPOSABLE

853445

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

INSULIN HUMALOG MIX 25 10ML VIAL

853437

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

INSULIN HUMALOG MIX 25 CARTRIDGE 3 ML

861782

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

INSULIN HUMALOG MIX 25 DISP PEN 3 ML

853461

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

INSULIN HUMALOG MIX 50 CARTRIDGE 3ML

705074

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN GLARGINE

LANTUS - 10ML VIAL

700310

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN GLARGINE

OPTISULIN CARTRIDGE 100IU/ML

723474

BASAGLAR CARTRIDGE 100IU/ML

722456

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN GLARGINE

OPTISULIN PEN 100 IU/ML

721502

BASAGLAR PEN 100IU/ML

722454

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN DETEMIR

LEVEMIR FLEXPEN PREFILLED 3ML

705312

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN DETEMIR

LEVEMIR PREFILLED CARTRIDGE 3ML

705313

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN ISOPHANE - INTERMEDIATE

HUMULIN – N VIAL 10ML

733458

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN ISOPHANE - INTERMEDIATE

BIOSULIN N 3ML CART

712768

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN ISOPHANE - INTERMEDIATE

INSULIN HUMULIN N PEN 3ML DISPOSABLE

853453

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

HUMULIN 30/70 10ML VIAL

783811

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

BIOSULIN 30/70 3ML CART

712770

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN PREMIXED BIPHASIC

HUMULIN 30/70 DISPOSABLE PENS 3ML

704456

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN - SHORT ACTING

HUMULIN – R 10ML VIAL

733431

DIABETES MELLITUS TYPE 1

E10

INSULIN

INSULIN - SHORT ACTING

BIOSULIN R 3ML CARTRIDGE

712767

DIABETES MELLITUS TYPE 1

E10

INSULIN

INTERMEDIATE TO LONG ACTING INSULIN

INSU PROTAPHANE FLEXPEN 3ML PF DEVICE

700183

DIABETES MELLITUS TYPE 1

E10

INSULIN

INTERMEDIATE TO LONG ACTING INSULIN

INSU PROTAPHANE HM(GE) 10ML VIAL

733482

DIABETES MELLITUS TYPE 1

E10

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

DIABETES MELLITUS TYPE 1

E10

PLATELET AGGREGATION INHIBITORS

ASPIRIN 81MG

ECOTRIN 81MG

823481

DIABETES MELLITUS TYPE 2

E11.9

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 850 MG

ACCORD METFORMIN 850MG

714426

DIAPHAGE 850MG

719785

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 500MG

ACCORD METFORMIN 500MG

714427

DIAPHAGE 500MG

719784

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 1000MG

BIGSENS 1000MG

709172

MYLAN METFORMIN 1000MG

721443

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 500MG

GLUCOPHAGE XR 500MG

710196

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 500MG

GLUCOPHAGE XR 500MG

710196

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 750MG

GLUCOPHAGE XR 750MG

720925

DIABETES MELLITUS TYPE 2

E11.9

BIGUANIDES

METFORMIN 1000MG

GLUCOPHAGE XR 1000MG

720926

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLIBENCLAMIDE 5MG

BIO-GLIBENCLAMIDE

827053

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLIMEPIRIDE 1MG

MYLAN GLIMEPIRIDE 1MG

709984

SULPHONUR 1MG

710904

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLIMEPIRIDE 2MG

MYLAN GLIMEPIRIDE 2MG

709985

SULPHONUR 2MG

710905

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLIMEPIRIDE 4MG

AUSTELL GLIMEPIRIDE 4MG

717078

SULPHONUR 4MG

710906

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLICLAZIDE 30MG MR

DIAGLUCIDE 30MG MR

714582

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLICLAZIDE 60MG MR

DIAGLUCIDE 60MG MR

718247

DIABETES MELLITUS TYPE 2

E11.9

SULPHONYLUREAS

GLICLAZIDE 80MG

SANDOZ GLICLAZIDE 80MG

834866

DIABETES MELLITUS TYPE 2

E11.9

THIAZOLIDINEDIONES

PIOGLITAZONE

CIPLA PIOGLITAZONE 30MG

707981

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 2

E11.9

THIAZOLIDINEDIONES

PIOGLITAZONE

CIPLA PIOGLITAZONE 15MG

707974

MOTIVATION REQUIRED WITH TREATMENT HISTORY

DIABETES MELLITUS TYPE 2

E11.9

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

DIABETES MELLITUS TYPE 2

E11.9

PLATELET AGGREGATION INHIBITORS

ASPIRIN 81MG

ECOTRIN 81MG

823481

DYSRHYTHMIA

I47, I48

DYSRHYTHMIA

I47, I48

ANTI-ARRHYTHMIC

AMIODARONE 100MG

HEXARONE 100MG

863157

TREATMENT TO BE INITIATED BY SPECIALIST

DYSRHYTHMIA

I47, I48

ANTI-ARRHYTHMIC

AMIODARONE 200MG

BIO-AMIODARONE 200MG

707851

TREATMENT TO BE INITIATED BY SPECIALIST

DYSRHYTHMIA

I47, I48

CARDIAC GLYCOSIDES

DIGOXIN

LANOXIN 0.0625MG

735760

DYSRHYTHMIA

I47, I48

CARDIAC GLYCOSIDES

DIGOXIN

LANOXIN 0.25MG

735752

DYSRHYTHMIA

I47, I48

ANTICOAGULANT

WARFARIN 5MG

CIPLA-WARFARIN

712390

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

SOTALOL 160MG

SOTAHEXAL 160MG

828009

TREATMENT TO BE INITIATED BY SPECIALIST

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

SOTALOL 80MG

SOTAHEXAL 80MG

827991

TREATMENT TO BE INITIATED BY SPECIALIST

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

PROPRANOLOL 10MG

INDOBLOK 10MG

806552

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

PROPRANOLOL 40MG

INDOBLOK 40MG

806560

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

ATENOLOL 50MG

TENOPRESS 50MG

705874

BIO-ATENOLOL 50MG

826898

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

ATENOLOL 100MG

TENOPRESS 100MG

705873

BIO-ATENOLOL 100MG

826901

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

BISOPROLOL 5MG

BILOCOR 5MG

704372

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS

BISOPROLOL 10MG

BILOCOR 10MG

704373

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS/DIURETIC

BISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 2.5MG/6.25MG

718082

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS/DIURETIC

BISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 5MG/6.25MG

718086

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS/DIURETIC

ATENOLOL 100MG/CHLORTHALIDONE 25MG

TENCHLOR

786217

DYSRHYTHMIA

I47, I48

BETA-BLOCKERS/DIURETIC

ATENOLOL 50MG/CHLORTHALIDONE 12.5MG

TENCHLOR-HS

807591

DYSRHYTHMIA

I47, I48

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 240 SR

VERAHEXAL 240 SR

700071

DYSRHYTHMIA

I47, I48

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 40MG

VASOMIL 40MG

774944

DYSRHYTHMIA

I47, I48

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 80MG

VASOMIL 80MG

774952

DYSRHYTHMIA

I47, I48

ALPHA + BETA BLOCKER

CARVEDILOL 12.5MG

CARLOC 12.5MG

700168

CARVETREND 12.5MG

704671

DYSRHYTHMIA

I47, I48

ALPHA + BETA BLOCKER

CARVEDILOL 6.25MG

CARLOC 6.25MG

705459

CARVETREND 6.25MG

704670

DYSRHYTHMIA

I47, I48

ALPHA + BETA BLOCKER

CARVEDILOL 25MG

CARLOC 25MG

897117

CARVETREND 25MG

704672

DYSRHYTHMIA

I47, I48

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

DYSRHYTHMIA

I47, I48

PLATELET AGGREGATION INHIBITORS

ASPIRIN 81MG

ECOTRIN 81MG

823481

EPILEPSY

G40, G41

EPILEPSY

G40, G41

ANTI-EPILEPTIC

VALPROIC ACID 150MG

CONVULEX 150MG

715980

EPILEPSY

G40, G41

ANTI-EPILEPTIC

VALPROIC ACID 300MG

CONVULEX 300MG

715999

EPILEPSY

G40, G41

ANTI-EPILEPTIC

VALPROIC ACID 500MG

CONVULEX 500MG

781568

EPILEPSY

G40, G41

ANTI-EPILEPTIC

VALPROIC ACID 250MG/ 5ML

CONVULEX SUSPENSION

781541

EPILEPSY

G40, G41

ANTI-EPILEPTIC

PHENYTOIN 100MG

EPANUTIN 100MG

723525

EPILEPSY

G40, G41

ANTI-EPILEPTIC

PHENYTOIN 125MG/5ML SUSP

EPANUTIN 125MG/5ML

723533

EPILEPSY

G40, G41

ANTI-EPILEPTIC

SODIUM VALPROATE 100MG

EPILIM CRUSHABLE 100MG

821578

EPILEPSY

G40, G41

ANTI-EPILEPTIC

SODIUM VALPROATE 200MG

EPROLEP CR 200MG

721460

NAVALPRO CR 200MG

718465

EPILEPSY

G40, G41

ANTI-EPILEPTIC

SODIUM VALPROATE 300MG

EPROLEP CR 300MG

720762

NAVALPRO CR 300MG

718466

EPILEPSY

G40, G41

ANTI-EPILEPTIC

SODIUM VALPROATE 500MG

EPROLEP CR 500MG

721055

NAVALPRO CR 500MG

718468

EPILEPSY

G40, G41

ANTI-EPILEPTIC

SODIUM VALPROATE 200MG/5ML

EPILIM SUGAR FREE

780545

EPILEPSY

G40, G41

ANTI-EPILEPTIC

LAMOTRIGINE 25MG

EPITEC 25MG TABS

704379

EPILEPSY

G40, G41

ANTI-EPILEPTIC

LAMOTRIGINE 50MG

LAMIDUS 50MG

710885

EPITEC 50MG TABS

704380

EPILEPSY

G40, G41

ANTI-EPILEPTIC

LAMOTRIGINE 100MG

LAMIDUS 100MG

710887

EPITEC 100MG TABS

704381

EPILEPSY

G40, G41

ANTI-EPILEPTIC

LAMOTRIGINE 200MG

LAMIDUS 200MG

710888

EPITEC 200MG TABS

704382

EPILEPSY

G40, G41

ANTI-EPILEPTIC

PHENOBARBITONE 30MG

SEDABARB 30MG

814946

EPILEPSY

G40, G41

ANTI-EPILEPTIC

PHENYTOIN 100MG

PHENYTOIN SOD

754870

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CLONAZEPAM

RIVOTRIL 0.5MG

761079

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CLONAZEPAM

RIVOTRIL 2.5MG/ML DROPS

835129

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CLONAZEPAM

RIVOTRIL 2MG

761087

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CARBAMAZEPINE 100MG/ 5ML

TEGRETOL SUSP 250ML

769401

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CARBAMAZEPINE 200MG

DEGRANOL 200MG

712493

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CARBAMAZEPINE 200MG

SANDOZ CARBAMAZEPINE CR

705597

EPILEPSY

G40, G41

ANTI-EPILEPTIC

CARBAMAZEPINE 400MG

SANDOZ CARBAMAZEPINE CR

705602

EPILEPSY

G40, G41

ANTI-EPILEPTIC

TOPIRAMATE 25MG

EPITOZ 25MG

710899

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

TOPIRAMATE 50MG

EPITOZ 50MG

710900

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

TOPIRAMATE 100MG

EPITOZ 100MG

719901

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

OXCARBAZEPINE 300MG

TRILEPTAL 300MG

892484

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

OXCARBAZEPINE 600MG

TRILEPTAL 600MG

892491

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

ANTI-EPILEPTIC

ETHOSUXIMIDE 250MG/5ML

ZARONTIN 250MG/5ML SYRUP

779105

SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST

EPILEPSY

G40, G41

PRENATAL VITAMINS

FOLIC ACID

BE-TABS FOLIC ACID

810967

GLAUCOMA

H40

GLAUCOMA

H40

OPTHALMICS -ALPHA-2-AGONIST

BRIMONIDINE TARTRATE

ALPHAGAN PURITE 5ML

709410

GLAUCOMA

H40

CARBONIC ANHYDRASE INHIBITORS

ACETAZOLAMIDE

AZOMID 250MG

789771

GLAUCOMA

H40

CARBONIC ANHYDRASE INHIBITORS

BRINZOLAMIDE

AZOPTIC EYE SUSPENSION 1%

701523

GLAUCOMA

H40

OPTHALMICS -BETA-BLOCKERS

TIMOLOL 5MG/ML

GLAUCOSAN 0.5%

821624

GLAUCOMA

H40

OPTHALMICS -BETA-BLOCKERS

TIMOLOL 2.5MG/ML

TIMOPTOL 0.25%

770833

GLAUCOMA

H40

OPTHALMICS -BETA-BLOCKERS COMBINATION

DORZOLAMIDE 20MG; TIMOLOL 5MG/ML

COSOPT 0.5% 5ML DRP

860379

GLAUCOMA

H40

OPTHALMICS -BETA-BLOCKERS COMBINATION

BRINZOLAMIDE 10MG; TIMOLOL 5MG/ML

AZARGA 5ML

717260

GLAUCOMA

H40

OPTHALMICS -BETA-BLOCKERS COMBINATION

BIMATOPOST 0.3MG; TIMOLOL 5MG/ML

GANFORT 3ML

714110

GLAUCOMA

H40

OPTHALMICS -CARBONIC ANHYDRASE INHIBITOR

DORZOLAMIDE 20MG

TRUSOPT SOLUTION

819832

GLAUCOMA

H40

OPTHALMICS-PROSTAGLANDIN ANALOGUE

TRAVOPROST 40UG/ML

TRAVATAN EYE DROP SOLUTION

702534

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

GLAUCOMA

H40

OPTHALMICS-PROSTAGLANDIN ANALOGUE

LANTANOPROST/TIMOLOL

XALACOM

702983

CO-ATANA 2.5ML

722712

GLAUCOMA

H40

OPTHALMICS-PROSTAGLANDIN ANALOGUE

LANTANOPROST 1ML/50MCG

XALATAN

833223

ATANA 50MCG/ML

720971

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

GLAUCOMA

H40

OPTHALMICS-PROSTAGLANDIN ANALOGUE

BIMATROPOST 0.3MG/ML

LUMIGAN 3ML

703666

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

GLAUCOMA

H40

OPHTHALMIC - MUSCARINIC AGONISTS

PILOCARPINE 10MG/ML

ISOPTOCARPINE 1% - 15ML

734284

GLAUCOMA

H40

OPHTHALMIC - MUSCARINIC AGONISTS

PILOCARPINE 20MG/ML

ISOPTOCARPINE 2%- 15ML

734179

GLAUCOMA

H40

OPHTHALMIC - MUSCARINIC AGONISTS

PILOCARPINE 40MG/ML

ISOPTOCARPINE 4% - 15ML

734195

HAEMOPHILIA

D66, D67

HAEMOPHILIA

D66, D67

ANTI-DIURETICS

DESMOPRESSIN

DDAVP INTRANASAL SOL 0.1MG/ML

717746

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

ANTI-DIURETICS

DESMOPRESSIN

DDAVP NASAL SPRAY 0.1MG/ML

837555

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

ANTI-DIURETICS

DESMOPRESSIN

DDAVP 0.2MG

703639

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

ANTI-DIURETICS

DESMOPRESSIN

DDAVP 0.1MG

837563

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

COAGULANTS

TRANEXAMIC ACID 500MG

CYKLOKAPRON 500

717134

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

COAGULANTS

FACTOR VIII 300U

HAEMOSOLVATE® FACTOR VIII

841560

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

COAGULANTS

FACTOR VIII 500U

HAEMOSOLVATE® FACTOR VIII

800759

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

COAGULANTS

FACTOR VIII 1000U

HAEMOSOLVATE® FACTOR VIII

813648

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HAEMOPHILIA

D66, D67

COAGULANTS

FACTOR IX 500U

HAEMOSOLVEX® FACTOR IX

800767

TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST

HYPERLIPIDAEMIA

E78

HYPERLIPIDAEMIA

E78

FIBRATES

BEZAFIBRATE 400MG

DYNA-BEZAFIBRATE SR 400MG

710122

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 10MG

ADCO SIMVASTATIN 10MG

701276

AUSTELL SIMVASTATIN 10MG

705464

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 20MG

ADCO SIMVASTATIN 20MG

701279

AUSTELL SIMVASTATIN 20MG

705465

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

SIMVASTATIN 40MG

ADCO SIMVASTATIN 40MG

701281

AUSTELL SIMVASTATIN 40MG

705467

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

ATORVASTATIN 10MG

ASPAVOR 10MG

708121

ADCO ATORVASTATIN 10MG

718073

CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

ATORVASTATIN 20MG

ASPAVOR 20MG

708122

ADCO ATORVASTATIN 20MG

718074

CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

ATORVASTATIN 40MG

ASTOR 40MG

719187

ADCO ATORVASTATIN 40MG

718075

CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED

HYPERLIPIDAEMIA

E78

HMG-COA REDUCTASE INHIBITORS (STATINS)

ATORVASTATIN 80MG

LIPOGEN 80MG

714074

ASTOR 80MG

719189

CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED

HYPERLIPIDAEMIA

E78

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

HYPERLIPIDAEMIA

E78

PLATELET AGGREGATION INHIBITORS

ASPIRIN 81MG

ECOTRIN 81MG

823481

HYPERTENSION

I10

HYPERTENSION

I10

ACE INHIBITORS

CAPTOPRIL 25MG

MYLAN-CAPTOPRIL 25MG

852619

HYPERTENSION

I10

ACE INHIBITORS

CAPTOPRIL 50MG

MYLAN-CAPTOPRIL 50MG

899429

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

CAPTOPRIL/HYDROCHLOROTHIAZIDE 50MG/25MG

CAPTORETIC 50/25MG

841137

HYPERTENSION

I10

ACE INHIBITORS

ENALAPRIL 10MG

ALAPREN 10MG

881481

HYPERTENSION

I10

ACE INHIBITORS

ENALAPRIL 20MG

ALAPREN 20MG

881503

HYPERTENSION

I10

ACE INHIBITORS

ENALAPRIL 5MG

ALAPREN 5MG

886835

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

ENALAPRIL / HYDROCHLORTHIAZIDE

ENAP CO

891287

HYPERTENSION

I10

ACE INHIBITORS

RAMIPRIL 2.5MG

RAMPIL 2.5MG

705427

HYPERTENSION

I10

ACE INHIBITORS

RAMIPRIL 5MG

RAMPIL 5MG

705428

HYPERTENSION

I10

ACE INHIBITORS

RAMIPRIL 10MG

RAMPIL10MG

705429

HYPERTENSION

I10

ACE INHIBITORS

PERINDOPRIL 4MG

PREXUM 4MG

703541

VECTORYL 4MG

710297

HYPERTENSION

I10

ACE INHIBITORS

PERINDOPRIL 4MG

PREXUM 5MG

720387

HYPERTENSION

I10

ACE INHIBITORS

PERINDOPRIL 8MG

PEARINDA 8MG

714528

VECTORYL 8MG

710925

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

PERINDOPRIL 2,5MG/INDAPAMIDE 0.625MG

PREXUM 2.5 PLUS

721507

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

PERINDOPRIL 4MG/INDAPAMIDE 1.25MG

PREXUM PLUS

704929

VECTORYL PLUS

710298

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

PERINDOPRIL 4MG/INDAPAMIDE 1.25MG

PREXUM PLUS 5/1.25 MG

720388

HYPERTENSION

I10

ACE INHIBITORS COMBINATION

PERINDOPRIL 10MG/INDAPAMIDE 2.5MG

BIOPREXUM PLUS 10/2.5MG

721508

HYPERTENSION

I10

ACE INHIBITOR COMBINATIONS

PERINDOPRIL 10MG/AMLODIPINE 10MG

COVERAM 10/10MG

719853

HYPERTENSION

I10

ACE INHIBITOR COMBINATIONS

PERINDOPRIL 10MG/AMLODIPINE 5MG

COVERAM 10/5MG

719854

HYPERTENSION

I10

ACE INHIBITOR COMBINATIONS

PERINDOPRIL 5MG/AMLODIPINE 10MG

COVERAM 5/10MG

719852

HYPERTENSION

I10

ACE INHIBITOR COMBINATIONS

PERINDOPRIL 5MG/AMLODIPINE 5MG

COVERAM 5/5MG

719855

HYPERTENSION

I10

ACE INHIBITORS

LISINOPRIL 5MG

SINOPREN 5MG

700691

ZEMAX 5MG

703646

HYPERTENSION

I10

ACE INHIBITORS

LISINOPRIL 10MG

SINOPREN 10MG

700692

AUSTELL LISINOPRIL 10MG

712598

HYPERTENSION

I10

ACE INHIBITORS

LISINOPRIL 20MG

SINOPREN 20MG

700694

AUSTELL LISINOPRIL 20MG

708189

HYPERTENSION

I10

ACE INHIBITORS

LISINOPRIL 10MG/HYDROCHLOROTHIAZIDE 12.5MG

ADCO ZETOMAX-CO 10/12.5MG

704597

HEXAL-LISINOPRIL CO 10/12.5MG

704703

HYPERTENSION

I10

ACE INHIBITORS

LISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12.5MG

ADCO ZETOMAX-CO 20/12.5MG

704598

HEXAL-LISINOPRIL CO 20/12.5MG

704704

HYPERTENSION

I10

ALPHA + BETA BLOCKER

CARVEDILOL 12.5MG

CARLOC 12.5MG

700168

CARVETREND 12.5MG

704671

HYPERTENSION

I10

ALPHA + BETA BLOCKER

CARVEDILOL 6.25MG

CARLOC 6.25MG

705459

CARVETREND 6.25MG

704670

HYPERTENSION

I10

ALPHA + BETA BLOCKER

CARVEDILOL 25MG

CARLOC 25MG

897117

CARVETREND 25MG

704672

HYPERTENSION

I10

ALPHA RECEPTOR BLOCKERS

PRAZOSIN 1MG

PRATSIOL 1MG

782122

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

ALPHA RECEPTOR BLOCKERS

PRAZOSIN 2MG

PRATSIOL 2MG

782130

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

ALPHA RECEPTOR BLOCKERS

PRAZOSIN 5MG

PRATSIOL 5MG

782149

MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

BETA-BLOCKERS

PROPRANOLOL 10MG

INDOBLOK 10MG

806552

HYPERTENSION

I10

BETA-BLOCKERS

PROPRANOLOL 40MG

INDOBLOK 40MG

806560

HYPERTENSION

I10

BETA-BLOCKERS

BISOPROLOL 5MG

BILOCOR 5MG

704372

BISBETA 5MG

720659

HYPERTENSION

I10

BETA-BLOCKERS

BISOPROLOL 10MG

BILOCOR 10MG

704373

BISBETA 10MG

720660

HYPERTENSION

I10

BETA-BLOCKERS/DIURETIC

BISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 2.5MG/6.25MG

718082

HYPERTENSION

I10

BETA-BLOCKERS/DIURETIC

BISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MG

BISOZYD CO 5MG/6.25MG

718086

HYPERTENSION

I10

BETA-BLOCKERS

ATENOLOL 50MG

TENOPRESS 50MG

705874

BIO-ATENOLOL 50MG

826898

HYPERTENSION

I10

BETA-BLOCKERS

ATENOLOL 100MG

TENOPRESS 100MG

705873

BIO-ATENOLOL 100MG

826901

HYPERTENSION

I10

BETA-BLOCKERS/DIURETIC

ATENOLOL 100MG/CHLORTHALIDONE 25MG

TENCHLOR

786217

HYPERTENSION

I10

BETA-BLOCKERS/DIURETIC

ATENOLOL 50MG/CHLORTHALIDONE 12.5MG

TENCHLOR-HS

807591

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

AMLODIPINE 10MG

GULF AMLODIPINE 10MG

712954

LOMANOR 10MG

708353

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

AMLODIPINE 5MG

AMTAS 5MG

713971

LOMANOR 5MG

708352

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

DILTIAZEM 60MG

ZILDEM 60MG

822213

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

DILTIAZEM 90MG

ZILDEM 90MG

824364

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

DILTIAZEM SR 180MG

ZILDEM SR 180MG

839183

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

DILTIAZEM SR 240MG

ZILDEM SR 240MG

839191

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

FELODOPINE 5MG

HEXAL-FELODOPINE 5MG

703221

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKER

FELODOPINE 10MG

HEXAL-FELODOPINE 10MG

703902

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS - LONG ACTING

VERAPAMIL 240 SR

VERAHEXAL 240 SR

700071

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 40MG

VASOMIL 40MG

774944

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS

VERAPAMIL 80MG

VASOMIL 80MG

774952

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS - LONG ACTING

NIFEDIPINE SR 20MG

CIPALAT RETARD 20MG

864153

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS - LONG ACTING

NIFEDIPINE SR 30MG

CIPALAT XR 30MG

723283

HYPERTENSION

I10

CALCIUM CHANNEL BLOCKERS - LONG ACTING

NIFEDIPINE SR 60MG

CIPALAT XR 60MG

723284

HYPERTENSION

I10

CENTRAL ALPHA-2 AGONIST

METHYLDOPA 250

HY-PO-TONE 250MG

732052

HYPERTENSION

I10

ALDOSTERONE ANTAGONIST

SPIRONOLACTONE 25MG

SPIRACTIN 25MG

765910

HYPERTENSION

I10

LOW CEILING DIURETICS

INDAPAMIDE

MYLAN-INDAPAMIDE 2.5MG

703329

CIPLA- INDAPAMIDE 2.5MG

710313

HYPERTENSION

I10

LOW CEILING DIURETICS

INDAPAMIDE

DYNA-INDAPAMIDE SR 1.5MG

716962

HYPERTENSION

I10

DIURETIC - LOOP

FUROSEMIDE 40MG

MYLAN FUROSEMIDE 40MG

857769

SANDOZ FUROSEMIDE

731668

HYPERTENSION

I10

LOOP DIURETICS

FUROSEMIDE 20MG

AUSTELL FUROSEMIDE 20MG

707421

HYPERTENSION

I10

DIURETIC-THIAZIDE

HYDROCHLORTHIAZIDE /AMILORIDE 25/2.5MG

AMILORETIC HS

702811

HYPERTENSION

I10

DIURETIC-THIAZIDE

HYDROCHLORTHIAZIDE /TRIAMTERENE 25/50

RENEZIDE

780146

HYPERTENSION

I10

DIURETIC-THIAZIDE

HYDROCHLOROTHIAZIDE 25MG

HEXAZIDE

890470

HYPERTENSION

I10

DIURETIC-THIAZIDE

HYDROCHLORTHIAZIDE/AMILORIDE 50/5MG

SPEC -CO - AMILORIDE

706531

HYPERTENSION

I10

DIURETIC-THIAZIDE/K COMBINATION

HYDROCHLORTHIAZIDE 50MG / POTASSIUM 600MG

URIREX K

774057

HYPERTENSION

I10

DIRECT VASODILATOR

HYDRALAZINE 10MG

HYPERPHEN 10MG

731714

HYPERTENSION

I10

DIRECT VASODILATOR

HYDRALAZINE 50MG

HYPERPHEN 50MG

731722

HYPERTENSION

I10

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

IF >120 REQUIRED, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED

HYPERTENSION

I10

ANGIOTENSIN RECEPTOR ANTAGONISTS

LOSARTAN 50MG

CIPLAZAR 50MG

716643

MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

ANGIOTENSIN RECEPTOR ANTAGONISTS

LOSARTAN 100MG

CIPLAZAR 100MG

716644

MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

ARB COMBINATIONS

LOSARTAN 100MG/ HYDROCHLOROTHIZIDE 25MG

LOSAAR PLUS 100/25MG

715857

MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

ARB COMBINATIONS

LOSARTAN 50MG/ HYDROCHLOROTHIZIDE 25MG

LOSAAR PLUS 50/12.5MG

715856

MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED

HYPERTENSION

I10

SYMPATHETIC NERVOUS BLOCKERS

RESERPINE 0.25MG

RESERPINE 0.25MG

760048

HYPERTENSION

I10

PLATELET AGGREGATION INHIBITORS

ASPIRIN 100MG

MYOPRIN

845590

BAYER ASPIRIN CARDIO 100MG

862304

HYPERTENSION

I10

PLATELET AGGREGATION INHIBITORS

ASPIRIN

ECOTRIN 81MG

823481

HYPOTHYROIDISM

E03

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 100MCG

EUTHYROX 100MCG

713169

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 50MCG

EUTHYROX 50MCG

713168

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 25MCG

EUTHYROX 25MCG

713172

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 200MCG

ELTROXIN 200MCG

723172

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 100MCG

ELTROXIN 100MCG

723171

ELTROXIN 100MCG

722952

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 75MCG

ELTROXIN 75MCG

723170

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 50MCG

ELTROXIN 50MCG

723168

ELTROXIN 50MCG

722944

HYPOTHYROIDISM

E03

THYROID PREPARATION

LEVOTHYROXINE 25MCG

ELTROXIN 25MCG

723167

HYPOTHYROIDISM

E03

THYROID PREPARATION

LIOTHYRONINE SODIUM 20MCG

TERTROXIN

769983

MULTIPLE SCLEROSIS

G35

MULTIPLE SCLEROSIS

G35

ANTI-EPILEPTIC

CARBAMAZEPINE 200MG

DEGRANOL 200MG

712493

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

ANTICHOLINERGICS

OXYBUTININ 5MG

LENDITRO 5MG

872253

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

ANALGESICS

PARACETAMOL 500MG

NAPAMOL

745723

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

CYTOSTATIC

METHOTREXATE 2.5MG

METHOTREXATE 2.5MG

742465

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

CYTOSTATIC

AZATHIOPRINE 50MG

AZAMUN 50MG

701252

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

CORTICOSTEROIDS

PREDNISOLONE 5MG

LENISOLONE 5MG

800155

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

CORTICOSTEROIDS

PREDNISONE 5MG

BE-TABS PREDNISONE

788783

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

MULTIPLE SCLEROSIS

G35

IMMUNOSUPPRESSANTS

CYCLOPHOSPHAMIDE

ENDOXAN 50MG

723274

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

MUSCLE RELAXANTS

BACLOFEN 10

TEVA-BACLOFEN 10MG

712607

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

NSAID'S

NAPROXEN 250MG

NAPFLAM 250MG

806447

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

NSAID'S

NAPROXEN 500MG

NAPFLAM 500MG

808474

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

NSAID'S

DICLOFENAC SOD. 25MG TAB

PANAMOR 25MG

752371

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

NSAID'S

DICLOFENAC SOD. 50MG TAB

PANAMOR 50MG

752398

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

NSAID'S

DICLOFENAC SOD. 100MG

PANAMOR SR

827592

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

TRICYCLIC ANTIDEPRESSANTS

AMITRIPTYLINE 25MG

TREPILINE 25MG

771996

GULF AMITRIPRYLINE

718746

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

SSRI

FLUOXETINE 20MG

DEPROZAN

894303

TREATMENT TO BE INITIATED BY SPECIALIST

MULTIPLE SCLEROSIS

G35

PRENATAL VITAMINS

FOLIC ACID

BE-TABS FOLIC ACID

810967

MULTIPLE SCLEROSIS

G35

IMMUNOSTIMULANTS

INTEFERON BETA-1A

REBIF 44MCG/0.5ML

890887

TO BE REVIEWED FROM SPECIALISED DRUG BENEFIT - SPECIALIST PHYSICIAN/NEUROLOGIST MUST PROVIDE EDSS, RELAPSING-REMITTING HISTORY AND NUMBER OF RELAPSES

MULTIPLE SCLEROSIS

G35

IMMUNOSTIMULANTS

INTEFERON BETA-1A

REBIF 22MCG/0.5ML

898891

TO BE REVIEWED FROM SPECIALISED DRUG BENEFIT - SPECIALIST PHYSICIAN/NEUROLOGIST MUST PROVIDE EDSS, RELAPSING-REMITTING HISTORY AND NUMBER OF RELAPSES

PARKINSON'S

G20, G21

PARKINSON'S

G20, G21

CENTRAL MUSCARINIC BLOCKERS

BIPERIDEN 2.5MG

LENNON - BIPERIDEN

713209

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

BETA-BLOCKERS

PROPRANOLOL 10MG

INDOBLOK 10MG

806552

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

BETA-BLOCKERS

PROPRANOLOL 40MG

INDOBLOK 40MG

806560

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

ROPINIROLE 0.25MG

RESURE 0.25MG

715081

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

ROPINIROLE 0.5MG

RESURE 0.5MG

715082

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

ROPINIROLE 1MG

RESURE 1MG

715083

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

ROPINIROLE 2MG

RESURE 2MG

715084

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

ROPINIROLE 5MG

RESURE 5MG

715085

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

DOPAMINE AGONISTS

AMANTADINE 100MG

SYMADIN

700500

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

LEVODOPA + DOPAMINE DECARBOXYLASE INHIBITORS

LEVODOPA/CARBIDOPA 100/25MG

TEVA CARBILEVO 100/25MG

710286

SINEMET 25MG/100MG

764078

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

LEVODOPA + DOPAMINE DECARBOXYLASE INHIBITORS

LEVODOPA/CARBIDOPA 250/25MG

TEVA CARBILEVO 250/25MG

710468

SINEMET 25MG/250MG

764086

TREATMENT TO BE INITIATED BY SPECIALIST

PARKINSON'S

G20, G21

ANTI-CHOLINERGIC

ORPHENADRINE 50MG

DISIPAL 50MG

720542

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

RHEUMATOID ARTHRITIS

M05, M06, M08

ANALGESICS

PARACETAMOL 500MG

NAPAMOL 500MG

745723

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN 500MG

762008

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN EN 500

762016

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

CORTICOSTEROIDS

PREDNISOLONE 5MG

LENISOLONE 5MG

800155

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

CORTICOSTEROIDS

PREDNISONE 5MG

BE-TABS PREDNISONE

788783

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

RHEUMATOID ARTHRITIS

M05, M06, M08

CYTOSTATIC

METHOTREXATE 2.5

METHOTREXATE 2.5MG

742465

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

CYTOSTATICS

CYCLOPHOSPHAMIDE 50MG

ENDOXAN 50MG

723274

MOTIVATION BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

IMMUNOSUPPRESSIVE

AZATHIOPRINE 50MG

AZAMUN 50MG

701252

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

IMMUNOSUPPRESSIVE

CHLOROQUINE 200MG

PLASMOQUINE 200MG

794333

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

INDOMETHACIN 100MG

ARTHREXIN 100MG SUPP.

704741

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

INDOMETHACIN 25MG

BETACIN 25MG

787833

ARTHREXIN 25MG

704725

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

IBUPROFEN 200MG

RANFEN 200MG

824852

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

IBUPROFEN 400MG

RANFEN 400MG

701654

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

IBUPROFEN 600MG

SANDOZ IBUPROFEN 600 MG

782807

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

SELECTIVE COX II INHIBITORS

MELOXICAM 15MG

FLEXOCAM 15MG

704828

ARROW MELOXICAM 15MG

711325

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

SELECTIVE COX II INHIBITORS

MELOXICAM 7.5MG

FLEXOCAM 7.5MG

704829

ARROW MELOXICAM 7.5MG

711324

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

NAPROXEN 250MG

NAPFLAM 250MG

806447

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

NAPROXEN 500MG

NAPFLAM 500MG

808474

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

DICLOFENAC 25MG

PANAMOR 25MG

752371

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

DICLOFENAC 50MG

PANAMOR 50MG

752398

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

NSAID'S

DICLOFENAC SR 100MG

PANAMOR SR

827592

MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS

RHEUMATOID ARTHRITIS

M05, M06, M08

SPECIFIC COX2 INHIBITORS - COXIB

CELCOXIB 100MG

COXLEON 100MG CAPS

723329

MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY

RHEUMATOID ARTHRITIS

M05, M06, M08

SPECIFIC COX2 INHIBITORS - COXIB

CELCOXIB 200MG

COXLEON 200MG CAPS

723330

MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY

RHEUMATOID ARTHRITIS

M05, M06, M08

SPECIFIC COX2 INHIBITORS - COXIB

ETORICOXIB 60MG

SPEC ETORICOXIB 60MG

723128

MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY

RHEUMATOID ARTHRITIS

M05, M06, M08

TRICYCLIC ANTIDEPRESSANTS

AMITRIPTYLINE 10MG

TREPILINE 10MG

772003

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

TRICYCLIC ANTIDEPRESSANTS

AMITRIPTYLINE 25MG

TREPILINE 25MG

771996

GULF AMITRIPRYLINE

718746

TREATMENT TO BE INITIATED BY SPECIALIST

RHEUMATOID ARTHRITIS

M05, M06, M08

VITAMINS

FOLIC ACID 5MG

BE-TABS FOLIC 5MG

810967

TREATMENT TO BE INITIATED BY SPECIALIST

SCHIZOPHRENIA

F20

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

CARBAMAZEPINE 200MG

DEGRANOL 200MG

712493

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

CARBAMAZEPINE 200MG CR

SANDOZ CARBAMAZEPINE CR 200MG

705597

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

CARBAMAZEPINE 400MG CR

SANDOZ CARBAMAZEPINE CR 400MG

705602

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

LAMOTRIGINE 25MG

EPITEC 25MG TABS

704379

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

LAMOTRIGINE 50MG

LAMIDUS 50MG

710885

EPITEC 50MG TABS

704380

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

LAMOTRIGINE 100MG

LAMIDUS 100MG

710887

EPITEC 100MG TABS

704381

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-EPILEPTIC

LAMOTRIGINE 200MG

LAMIDUS 200MG

710888

EPITEC 200MG TABS

704382

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

PHENOTHIAZINES

CHLORPROMAZINE 100MG

LARGACTIL 100MG

735884

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

PHENOTHIAZINES

CHLORPROMAZINE 25MG

LARGACTIL 25MG

735868

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

PHENOTHIAZINES

CHLORPROMAZINE 50MG

LARGACTIL 50MG

735876

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

SSRI

FLUOXETINE 20MG

DEPROZAN 20MG

894303

THERAPY MUST BE INITIATED BY A PSYCHIATRIST. 1ST LINE THERAPY

SCHIZOPHRENIA

F20

SSRI

CITALOPRAM 20MG

CILATE 20MG

707888

TALOMIL 20MG

702769

THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY

SCHIZOPHRENIA

F20

SSRI

PAROXETINE 20MG

SERRAPRESS 20MG

705122

XET 20MG

705633

THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY

SCHIZOPHRENIA

F20

SSRI

ESCITALOPRAM 10MG

MYLAN ESCITALOPRAM 10MG

714012

ZYTOMIL 10MG

719547

THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY

SCHIZOPHRENIA

F20

SSRI

ESCITALOPRAM 20MG

MYLAN ESCITALOPRAM 20MG

714013

ZYTOMIL 20MG

719548

THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY

SCHIZOPHRENIA

F20

SSRI

SERTRALINE 50MG

DYNA-SERTRALINE 50MG

719972

SERLIFE 50MG

703132

SCHIZOPHRENIA

F20

SSRI

SERTRALINE 100MG

DYNA-SERTRALINE 100MG

719973

SERLIFE 100MG

703999

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

DOTHIEPIN 25MG

THADEN 25MG

800198

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

DOTHIEPIN 75MG

THADEN 75MG

800201

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

AMITRIPTYLINE 10MG

TREPILINE 10MG

772003

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

AMITRIPTYLINE 25MG

TREPILINE 25MG

771996

GULF AMITRIPRYLINE

718746

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

IMIPRAMINE HCI 10MG

ETHIPRAMINE 10MG

724661

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

TRICYCLIC ANTIDEPRESSANTS

IMIPRAMINE HCI 25MG

ETHIPRAMINE 25MG

724688

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

MAOI

MOCLOBEMIDE 150MG

DEPNIL

897213

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

MAOI

MOCLOBEMIDE 300MG

DEPNIL

702008

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

THIOXANTHINES

ZUCLOPENTHIXOL DECANOATE 200MG/ML

CLOPIXOL DEPOT 200MG/ML

714852

DEPOT PREPARATIONS ONLY - 2ND LINE

SCHIZOPHRENIA

F20

THIOXANTHINES

FLUPENTHIXOL DECANOATE 20MG

FLUANXOL DEPOT 1ML 20MG

726672

DEPOT PREPARATIONS ONLY - 2ND LINE

SCHIZOPHRENIA

F20

THIOXANTHINES

FLUPENTHIXOL DECANOATE 40MG

FLUANXOL DEPOT 2ML 40MG

726680

DEPOT PREPARATIONS ONLY - 2ND LINE

SCHIZOPHRENIA

F20

THIOXANTHINES

FLUPENTHIXOL HCL 0.5MG

FLUANXOL 0.5MG

726656

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

THIOXANTHINES

FLUPENTHIXOL HCL 1MG

FLUANXOL 1MG

726664

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

BUTYREPHENONES

HALOPERIDOL 0.5MG

SERENACE 0.5MG

763411

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

BUTYREPHENONES

HALOPERIDOL 1.5MG

SANDOZ HALOPERIDOL 1.5MG

730335

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

BUTYREPHENONES

HALOPERIDOL 5MG

SANDOZ HALOPERIDOL 5MG

730327

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

CLOZAPINE 100MG

ASPEN CLOZAPINE

717082

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

CLOZAPINE 25MG

ASPEN CLOZAPINE

717081

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

RISPERIDONE 1MG

ZOXADON 1MG

711512

RISNIA 1MG

717997

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

RISPERIDONE 2MG

ZOXADON 2MG

711513

RISNIA 2MG

717998

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

OLANZAPINE 2.5MG

OLAWIN 2.5MG

721385

OLEXAR 2.5MG

715657

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

OLANZAPINE 5MG

OLAWIN 5MG

721388

OLAWIN 5MG

721388

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ATYPICAL ANTIPSYCHOTIC

OLANZAPINE 10MG

OLAWIN 10MG

721389

OLEXAR 10MG

715659

MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

BENZAMIDES

SULPIRIDE 50MG

ESPIRIDE

819654

THERAPY MUST BE INITIATED BY A PSYCHIATRIST

SCHIZOPHRENIA

F20

ANTI-CHOLINERGIC

ORPHENADRINE 50MG

DISIPAL 50MG

720542

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

ANTI-PROTOZOAL AGENTS

CHLOROQUINE PHOSPHATE

PLASMOQUINE 200MG

794333

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

ANTICOAGULANT

WARFARIN 5MG

CIPLA-WARFARIN

712390

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

ANALGESICS

PARACETAMOL 500MG

NAPAMOL 500MG TAB

745723

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

CYTOSTATIC

CYCLOPHOSPHOMIDE 50MG

ENDOXAN 50MG

723274

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

CYTOSTATIC

METHOTREXATE 2.5

METHOTREXATE 2.5MG

742465

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

IMMUNOSUPPRESSANTS

AZATHIOPRINE 50MG

AZAMUN

701252

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

CORTICOSTEROIDS

PREDNISOLONE 5MG

LENISOLONE 5MG

800155

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

CORTICOSTEROIDS

PREDNISONE 5MG

BE-TABS PREDNISONE

788783

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

INDOMETHACIN 100MG

ARTHREXIN 100MG SUPP.

704741

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

INDOMETHACIN 25MG

BETACIN 25MG

787833

ARTHREXIN 25MG

704725

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

ASPIRIN 300MG

BE-TABS ASPIRIN 300MG

798533

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

IBUPROFEN 200MG

RANFEN 200MG

824852

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

IBUPROFEN 400MG

RANFEN 400MG

701654

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

IBUPROFEN 600MG

SANDOZ IBUPROFEN 600 MG

782807

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

SELECTIVE COX II INHIBITORS

MELOXICAM 15MG

FLEXOCAM 15MG

704828

ARROW MELOXICAM 15MG

711325

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

SELECTIVE COX II INHIBITORS

MELOXICAM 7.5MG

FLEXOCAM 7.5MG

704829

ARROW MELOXICAM 7.5MG

711324

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

NAPROXEN 250MG

NAPFLAM 250MG

806447

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

NAPROXEN 500MG

NAPFLAM 500MG

808474

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

DICLOFENAC SOD. 25MG TAB

PANAMOR 25MG

752371

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

DICLOFENAC SOD. 50MG TAB

PANAMOR 50MG

752398

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

NSAID'S

DICLOFENAC SOD. 100MG

PANAMOR SR

827592

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

TOPICAL CORTICOSTEROIDS

BETAMETHASONE CREAM

TOPIVATE 0.1% CREAM

833037

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

TOPICAL CORTICOSTEROIDS

BETAMETHASONE LENOVATE

LENOVATE 0.1% OINTMENT

800171

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

VITAMINS

FOLIC ACID 5MG

BE-TABS FOLIC ACID 5MG

810967

TREATMENT TO BE INITIATED BY SPECIALIST

SYSTEMIC LUPUS ERYTHEMATOSUS

M32, L93

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

FOR LONG TERM ORAL CORTICOSTERIOD USE

ULCERATIVE COLITIS

K51

ULCERATIVE COLITIS

K51

5 AMINOSALYCILIC ACID DERIVATIVE

MESALAZINE ENEMA

ASACOL 2G/50ML ENEMA

824127

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

5 AMINOSALYCILIC ACID DERIVATIVE

MESALAZINE 400MG

ASACOL 400MG

783668

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

5 AMINOSALYCILIC ACID DERIVATIVE

MESALAZINE SUPP

ASACOL 500MG SUPP

824135

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN 500MG

762008

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

5 AMINOSALYCILIC ACID DERIVATIVE

SULPHASALAZINE 500MG

SALAZOPYRIN EN

762016

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

AMINOSALICYLATES

OLSALAZINE 250MG

DIPENTUM 250MG

792519

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

AMINOSALICYLATES

MESALAZINE 500MG TAB

PENTASA 500MG

890775

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

ANTIBIOTICS

METRONIDAZOLE 200MG

ADCO-METRONIDAZOLE 200MG

742872

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

ANTIBIOTICS

METRONIDAZOLE 400MG

ADCO-METRONIDAZOLE 400MG

701076

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

ANTIBIOTICS

CIPROFLOXACIN 250MG

CIPROL 250MG

704777

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

ANTIBIOTICS

CIPROFLOXACIN 500MG

CIPROL 500MG

704775

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

ANTIBIOTICS

CIPROFLOXACIN 750MG

CIFLOC 750MG

893963

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

CORTICOSTEROIDS

BUDESONIDE ENEMA

ENTOCORD 2.3MG ENEMA

824593

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

CORTICOSTEROIDS

BUDESONIDE 3MG

ENTOCORD 3MG TAB

838896

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

CORTICOSTEROIDS

PREDNISOLONE 5MG

LENISOLONE 5MG

800155

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

CORTICOSTEROIDS

PREDNISONE 5MG

BE-TABS PREDNISONE

788783

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

IMMUNOSUPPRESSIVE

AZATHIOPRINE 50MG

AZAMUN 50MG

701252

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

CYTOSTATIC

METHOTREXATE 2.5

METHOTREXATE 2.5MG

742465

TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED

ULCERATIVE COLITIS

K51

VITAMINS

FOLIC ACID 5MG

BE-TABS FOLIC ACID 5MG

810967

TREATMENT TO BE INITIATED BY SPECIALIST

ULCERATIVE COLITIS

K51

POTASSIUM SUPPLEMENTS

POTASSIUM CHLORIDE 600MG

PLENISH K 600MG

755753

FOR LONG TERM ORAL CORTICOSTERIOD USE

DISCLAIMER
Please note this formulary is reviewed on a regular basis by the PHA clinical committee to ensure adherence to the most current and approved clinical guidelines for the treatment of the listed conditions. PHA and the clinical committee reserve the right to amend the medicine list via addition, removal or replacement of listed medicines on the formulary if and at such times, updated clinical information becomes available regards treatment of a condition, safety and efficacy of listed products and/ or improved therapeutic outcomes are made available. This formulary is intended to be used as a guide to approved treatment of the condition but in no way or manner is intended to substitute the professional knowledge of the individual prescribing or dispensing the said medication. PHA shall not under any circumstances be liable for any side-effects or other consequential or incidental harm of any kind or description whatsoever arising from the use of, or failure to use, any medicine on the strength of information contained in a this formulary.

COPYRIGHT
PHA reserves its copyright and all its other intellectual-property rights in respect of the PHA formulary. The formulary or parts thereof, may not be copied, reproduced or stored in any medium, nor shared with other parties in any format, without the express permission of PHA.